Organization
ANNE ARUNDEL DERMATOLOGY, PA
Active
Parent organization
ANNE ARUNDEL DERMATOLOGY, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE ARUNDEL DERMATOLOGY, PA
Authorized official
LAURA J HERNANDEZ (ENROLLMENT SPECIALIST)
(813) 493-5252
Entity
Organization
Contact information
Practice address
995 PRINCE FREDERICK BLVD STE 204&205, PRINCE FREDERICK, MD 20678-3198
(443) 351-3376
(410) 535-6574
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329
(410) 873-8500
(404) 301-9057
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
01/12/2026
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